Anxiety Flashcards
What level of anxiety is common to have misperceptions, no learning occurs, the individual has no concentration or ability to comprehend, & have a sense of impending doom, & terror?
Panic
What’s the term used to describe the subjective emotional response to a stressor which may be unknown?
Anxiety
What level of anxiety has a reduced perception & alertness, learning occurs but at an optimal level, have a decrease in attention & concentration?
Moderate
What level of anxiety has a heightened perception, learning is enhanced, & things are ok in the individuals life?
Mild
What level of anxiety has a greatly diminished perception, may not notice events, no learning occurs, have an extremely limited attention span & feeling of dread, & focus on self?
Severe
What level of anxiety appears with restlessness, irritability, & the individual is rarely distressed?
Mild
What level of anxiety appears with headaches, dizziness, nausea, insomnia, & hyperventilation?
Severe
What level of anxiety appears with increased heart rate, respirations, perspirations, restlessness, & muscle tension?
Moderate
What level of anxiety appears with dilated pupils, labored breathing, severe trembling, diaphoresis, pallor, & possible hallucinations & delusions?
Panic
What disorder has recurrent attacks that occur unexpectedly, has no stimulus & is manifested by intense apprehension, fear, or terror w/ physical discomfort?
Panic Disorder
What disorder is persistent, unrealistic, & has excessive anxiety & worry that occurs for at least 6 months; the pt. may avoid events that can cause negative outcomes or spends a lot of time preparing for those events/activities?
Generalized Anxiety Disorder
What disorder must include 4 of the following symptoms: palpations, sweating, shaking, SOB, choking feeling, chest pain/discomfort, nausea, dizziness, chills, paresthesia, derealization, fear of “going crazy” or dying, & hyperventilation?
Panic Disorder
What is the term used to describe a fear of being in a situation where escape is difficult or help is not available in event of an attack occurring?
Agoraphobia
What disorder includes these symptoms: excessive anxiety difficult to control, restlessness, easily fatigued, difficulty concentrating, irritability, muscle tension, sleeping disturbances, & possible depressive/somatic?
Generalized Anxiety Disorder
What disorder requires two of these 5 criteria in order to be diagnosed with this disorder: fear of public transportation, open spaces, (parking lot) closed spaces (mall), standing in line, being in a crowd, or being outside the home alone?
Agoraphobia
What disorder is a fear that an individual might do something embarrassing or be evaluated negatively by others in something that is done socially outside of the house like giving a speech, eating in front of people, talking in a group, etc?
Social anxiety disorder
What is the fear of specific objects or situations that could cause harm but the person’s reaction to them is excessive, unreasonable, inappropriate, but powerless to change?
Specific phobia
What term is used to describe the fear of height?
Acrophobia
What term is used to describe the fear of pain?
Algophobia
What term is used to describe the fear of spiders?
Arachnophobia
What term is used to describe the fear of needles?
Belonephobia
What term is used to describe the fear of insanity?
Dementophobia
What term is used to describe the fear of snakes?
Ophidiophobia
What term is used to describe the fear of fire?
Pyrophobia
What term is used to describe the fear of number 13?
Triskaidekaphobia
What term is used to describe the fear of strangers?
Xenophobia
What term is used to describe the fear of animals?
Zoophobia
What disorder has recurrent obsessions or compulsions that are severe to be time consuming or cause a significant impairment & the pt. may recognize the behavior is excessive or unreasonable but bc of feeling of relief from discomfort it promotes they’re compelled to continue the act?
Obsessive-compulsive disorder (OCD)
What is the term used to describe the repetitive intrusive, unwanted ritualistic behaviors an individual need to do bc of an obsession (thoughts)?
Compulsions
What is the preoccupation w/ one or more defects or flaws in a persons physical appearance that are not observable to others but the person exaggerates this belief as being a defect & may perform repetitive behaviors or mental acts in response to these appearance concerns?
Body Dysmorphic Disorder
What is the recurrent pulling out of one’s hair that results in hair loss & precede by increasing sense of tension & results in sense of release or gratification w/ a tingling/itching feeling, but no pain afterwards?
Trichotillomania
What disorder is characterized by someone having one or more somatic behaviors that they may seek out to several doctors for care, which can result in dangerous combos of treatment. Have a high level of anxiety & symptoms cant be described medically, but interferes with their social life?
Somatic symptom disorder
What disorder is characterized by unrealistic interpretations of physical symptoms & the belief they are acquiring a mental illness that can lead to a preoccupation & fear of having serious illness? For example, I have a mole, I have cancer, & I’m gonna die.
Illness anxiety disorder
What disorder is a change or loss in voluntary motor/sensory function that can’t be explained?
Conversion Disorder
What disorder is a falsification of an illness/problem to get attention from it or cause a problem to themselves or the person they’re taking care of to get attention for it?
Factitious disorder
What disorder is also known as “multiple personality disorder” where an individual has 2 or more personalities where 1 is evident at a time & the dominant personality has no knowledge of sub-personalities?
Dissociative Identity Disorder
What medications depress subcortical levels of the CNS & are used for anxiety disorders?
Anti-anxiety (Anxiolytics)
Buspar, Benzodiazepins, & antihistamines are classified as what medications?
Anti-anxiety (Anxiolytics)
Which medications take up to 2 weeks to have an effect?
Buspar
What medications are for panic & should not be mixed with alcohol, be stopped abruptly, and shouldn’t be driving while taking them?
Benzodiazepines
What classification has these two drugs: Benadryl & Vistaril?
Antihistamines
What classification has these two types of medications: SSRI’s or SNRI’s?
Antidepressants
Which medications are used for situational events & include ADHD & opiate withdrawal use as well?
Antihypertensives
What does CHILL stand for?
Communicate Health (nutrition, exercise) Image (Imagery) Lighten up (relaxation techniques) Little by little (time management)
For the last year, a college student, continually & unrealistically worries about academic performance and love life performance. The student is irritable & suffers from severe insomnia. This behavior is associated w/ which Axis I diagnosis? A. PTSD B. GAD C. Social phobia D. OCD
B. GAD
When caring for a pt. who is experiencing a panic attack, which of the following nursing actions should be implemented?
A. Leave the pt. alone to maintain privacy
B. Instruct the pt regarding unit rules & regulations
C. Sit w/ the pt in the day room to provide comfort
D. Communicate w/ simple words & brief messages
D. Communicate w/ simple words & brief messages
Which statement is true about pt.’s who have somatoform disorders? They..
A. Readily seek psychiatric counseling
B. Attend psychotherapy sessions w/o encouragement
C. Are eager to discover the true reasons for their physical symptoms
D. Are difficult to convince to seek psychiatric help
D. Are difficult to convince to seek psychiatric help
What should the nurse plan to teach a pt. who is taking alprazolam (Xanax) 3xs a day?
A. That there is a potential for dependence & tolerance
B. The importance of discontinuing Xanax immediately is addiction is suspected
C. That increased caffeine consumption can enhance the effectiveness of Xanax.
D. That Xanax isn’t habit forming
A. That there is a potential for dependence & tolerance
A newly admitted pt. diagnosed w/ OCD, spends 1 hour packing & unpacking folding & refolding personal belongings. What is the most likely reason for this behavior?
A. It relieves anxiety
B. It fosters organizational skills
C. It delays meeting unfamiliar people in the dayroom
D. It makes the pt feel good
A. It relieves anxiety
What is the term used to describe a disturbance in perception of oneself?
Depersonalization
What is the term used to describe an alteration in the perception of external environment?
Derealization
What treatment modality for anxiety focuses on helping the pt. understand the hypothesized unconscious meaning of anxiety, symbolism of avoided situation & need to repress impulses/second gains of symptoms?
Individual psychotherapy
What treatment modality for anxiety assists the pt. to reduce anxiety responses by altering cognitive distortions & major part of treatment is to encourage pt to face frightening situations & to be able to view them realistically & talk about achieving them?
Cognitive therapy
What treatment modality for anxiety uses habit reversal therapy, using a system of positive & negative reinforcements in effort to modify the behaviors like hair pulling?
Behavior therapy
What treatment modality for anxiety gradually exposes the pt. to the phobic stimulus either in a real or imagined image & uses training in relaxation techniques & progressive exposure to fear stimuli while in a relaxed state & when mastered phobic stimulus is initiated?
Systemic Desensitization
What treatment modality for anxiety involves pt’s to imagine situations or participate in real life situations that he or she finds extremely frightening for a prolonged period of time & the therapist floods them w/ info concerning situations that trigger their anxiety?
Implosion Therapy (Flooding)
